Dentaltown November 2015 - (Page 46)

pediatric dentistry feature by Josh Wren, DMD Space Maintenance: The Right Appliance at the Right Time O One of the most common questions asked on the Dentaltown pediatric dentistry message boards is, "Do I need to place a space maintainer here? If I do need a space maintainer, which one do I need?" My goal of this article is to address those two questions. Ask any orthodontist the following question: "Is it easier to put the teeth where they need to be if you have the space available, or is it easier to create the space first then put the teeth where they need to go?" The following examples are general examples only. There are often other variables that can influence the use of a particular space maintainer. Missing "d" Missing "e" Six-year molar fully erupted and in occlusion: No space maintainer needed Six-year molar not erupted: Distal shoe or no space maintainer (distal shoes are an advanced space maintainer procedure and not necessarily the standard of care-no space maintenance is a possible option). Fig. 1 "d" needs to be extracted but six-year molar is fully erupted Distal shoes must be followed radiographically at each recall appointment. The blade portion that contacts the mesial of the six-year molar usually needs to be shortened once or twice before the six-year molar is fully erupted. A "d" is a primary first molar-tooth #'s B, I, L or S Six-year molar not erupted, or not fully erupted: Band and loop is indicated An "e" is a primary second molar-tooth #'s A, J, K, or T Fig. 3a Distal shoe-a pre-cementation radiograph is a must Fig. 2a Band and loop is indicated until the six-year molar is fully erupted Fig. 3b Blade location is close but not ideal Fig. 2b Band and loop has maintained the "d space" and can now be removed Fig. 3c Blade location is ready for cementation 46 NOVEMBER 2015 // dentaltown.com http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown November 2015

On Dentaltown.com
HOWARD SPEAKS: Avoid a Perfect Storm: Focus on Infection Control
PROFESSIONAL COURTESY: Suffering from Arithmophobia?
Continuing Education Update
Industry News
Check Out This Broken Implant
Disaster Case— Hail Mary
Internal Marketing Begets Referrals
When to Refer to a Periodontist
Parents in the Operatory: Friend or Foe?
What You Need to Know to Hire the Perfect Hygienist
Space Maintenance: The Right Appliance at the Right Time
Practice Solutions: AMD LASERS
Practice Solutions: Planmeca
Product Profi le: DentalMarketing.net
Adhesives: 60 Years of Clinical and Chemical Improvement
Poll
Product Profi le: DEXIS
Misaligned Anterior Teeth Straightened with Direct Composite Bonding
Five Common Web Design Mistakes
You’re a Public-Health Dentist and You Didn’t Even Know It!
Retirement Planning Made Simple
Young Patient Redefi nes the Face of Dentures
New Products
Healthy Mouth, Healthy Body: A Patient Info Sheet
Ad Index
You Should Know: Synergy Dental Partners
Practice Growth Fueled by Technology
The Clinical Algorithms of Rehabilitation
Dentally Incorrect

Dentaltown November 2015

http://www.nxtbook.com/farran/dentaltown/2020February
http://www.nxtbook.com/farran/dentaltown/2020January
http://www.nxtbook.com/farran/dentaltown/2019December
http://www.nxtbook.com/farran/dentaltown/2019November
http://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
http://www.nxtbook.com/farran/dentaltown/2019October
http://www.nxtbook.com/farran/dentaltown/2019NewGrad
http://www.nxtbook.com/farran/dentaltown/2019September
http://www.nxtbook.com/farran/dentaltown/2019August
http://www.nxtbook.com/farran/dentaltown/2019July
http://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
http://www.nxtbook.com/farran/dentaltown/2019June
http://www.nxtbook.com/farran/dentaltown/2019May
http://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
http://www.nxtbook.com/farran/dentaltown/2019April
http://www.nxtbook.com/farran/dentaltown/2019March
http://www.nxtbook.com/farran/dentaltown/2019February
http://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
http://www.nxtbook.com/farran/dentaltown/2019January
http://www.nxtbook.com/farran/dentaltownuk/2018Winter
http://www.nxtbook.com/farran/dentaltown/2018December
http://www.nxtbook.com/farran/dentaltown/2018November
http://www.nxtbook.com/farran/dentaltownuk/2018November
http://www.nxtbook.com/farran/dentaltown/2018October
http://www.nxtbook.com/farran/dentaltownuk/2018October
http://www.nxtbook.com/farran/dentaltown/2018NewGrad
http://www.nxtbook.com/farran/dentaltown/2018September
http://www.nxtbook.com/farran/dentaltownuk/2018September
http://www.nxtbook.com/farran/dentaltown/2018August
http://www.nxtbook.com/farran/dentaltownuk/2018July
http://www.nxtbook.com/farran/dentaltown/2018July
http://www.nxtbook.com/farran/dentaltownuk/2018June
http://www.nxtbook.com/farran/dentaltown/2018June
http://www.nxtbook.com/farran/dentaltownuk/2018May
http://www.nxtbook.com/farran/dentaltown/2018May
http://www.nxtbook.com/farran/dentaltownuk/2018April
http://www.nxtbook.com/farran/dentaltown/2018April
http://www.nxtbook.com/farran/dentaltown/2018March
http://www.nxtbook.com/farran/dentaltownuk/2018March
http://www.nxtbook.com/farran/dentaltown/2018February
http://www.nxtbook.com/farran/dentaltownuk/2018February
http://www.nxtbook.com/farran/dentaltown/2018January
http://www.nxtbook.com/farran/dentaltown/2017December
http://www.nxtbook.com/farran/dentaltownuk/2017Winter
http://www.nxtbook.com/farran/dentaltown/2017November
http://www.nxtbook.com/farran/dentaltown/2017October
http://www.nxtbook.com/farran/dentaltownuk/2017october
http://www.nxtbook.com/farran/dentaltown/NewGrad2017
http://www.nxtbook.com/farran/dentaltown/2017September
http://www.nxtbook.com/farran/dentaltownuk/2017September
http://www.nxtbook.com/farran/dentaltownuk/2017August
http://www.nxtbook.com/farran/dentaltown/2017August
http://www.nxtbook.com/farran/dentaltown/2017July
http://www.nxtbook.com/farran/dentaltownuk/2017July
http://www.nxtbook.com/farran/dentaltown/2017June
http://www.nxtbook.com/farran/dentaltownuk/2017may
http://www.nxtbook.com/farran/dentaltown/2017May
http://www.nxtbook.com/farran/dentaltownuk/2017April
http://www.nxtbook.com/farran/dentaltown/2017April
http://www.nxtbook.com/farran/dentaltown/2017March
http://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
http://www.nxtbook.com/farran/dentaltown/February2017
http://www.nxtbook.com/farran/dentaltown/2017January
http://www.nxtbook.com/farran/dentaltown/2016December
http://www.nxtbook.com/farran/dentaltown/2016November
http://www.nxtbook.com/farran/dentaltown/2016October
http://www.nxtbook.com/farran/dentaltown/2016nge
http://www.nxtbook.com/farran/dentaltown/2016september
http://www.nxtbook.com/farran/dentaltown/2016august
http://www.nxtbook.com/farran/dentaltown/2016july
http://www.nxtbook.com/farran/dentaltown/2016june
http://www.nxtbook.com/farran/dentaltown/2016may
http://www.nxtbook.com/farran/dentaltown/2016april
http://www.nxtbook.com/farran/dentaltown/2016march
http://www.nxtbook.com/farran/dentaltown/2016february
http://www.nxtbook.com/farran/dentaltown/2016january
http://www.nxtbook.com/farran/dentaltown/2015december
http://www.nxtbook.com/farran/dentaltown/2015november
http://www.nxtbook.com/farran/dentaltown/2015october
http://www.nxtbook.com/farran/dentaltown/2015nge
http://www.nxtbook.com/farran/dentaltown/2015september
http://www.nxtbook.com/farran/dentaltown/2015august
http://www.nxtbook.com/farran/dentaltown/2015july
http://www.nxtbook.com/farran/dentaltown/2015june
http://www.nxtbook.com/farran/dentaltown/2015may
http://www.nxtbook.com/farran/dentaltown/2015april
http://www.nxtbook.com/farran/dentaltown/2015march
http://www.nxtbook.com/farran/dentaltown/2015february
http://www.nxtbook.com/farran/dentaltown/2015january
http://www.nxtbook.com/farran/dentaltown/2014december
http://www.nxtbook.com/farran/dentaltown/2014decemberb
http://www.nxtbook.com/farran/dentaltown/2014november
http://www.nxtbook.com/farran/dentaltown/2014october
http://www.nxtbook.com/farran/dentaltown/2014newgrad
http://www.nxtbook.com/farran/dentaltown/2014september
http://www.nxtbook.com/farran/dentaltown/2014august
http://www.nxtbook.com/farran/dentaltown/2014july
http://www.nxtbook.com/farran/dentaltown/2014june
http://www.nxtbook.com/farran/dentaltown/2014may
http://www.nxtbook.com/farran/dentaltown/2014april
http://www.nxtbook.com/farran/dentaltown/2014march
http://www.nxtbook.com/farran/dentaltown/2014february
http://www.nxtbook.com/farran/dentaltown/2014january
http://www.nxtbook.com/farran/dentaltown/2013december
http://www.nxtbook.com/farran/dentaltown/2013november
http://www.nxtbook.com/farran/dentaltown/2013october
http://www.nxtbook.com/farran/dentaltown/2013newgrad
http://www.nxtbook.com/farran/dentaltown/2013september
http://www.nxtbook.com/farran/dentaltown/2013august
http://www.nxtbook.com/farran/dentaltown/2013july
http://www.nxtbook.com/farran/dentaltown/2013june
http://www.nxtbook.com/farran/dentaltown/2013may
http://www.nxtbook.com/farran/dentaltown/2013april
http://www.nxtbook.com/farran/dentaltown/2013march
http://www.nxtbook.com/farran/dentaltown/2013february
http://www.nxtbook.com/farran/dentaltown/2013january
http://www.nxtbook.com/farran/dentaltown/2012december
http://www.nxtbook.com/farran/dentaltown/2012November
http://www.nxtbookMEDIA.com